Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries
Aim Surgical treatment options for upper cervical trauma are few and have a very high risk. We aimed to present our experiences on the cases in which we performed surgery by eliminating the flexion restriction in the postoperative period by not including the occipital region in surgery. Materials an...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sakarya University
2024-06-01
|
| Series: | Sakarya Tıp Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/3762984 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849724484728127488 |
|---|---|
| author | Hikmet Turan Süslü Mustafa Kaya |
| author_facet | Hikmet Turan Süslü Mustafa Kaya |
| author_sort | Hikmet Turan Süslü |
| collection | DOAJ |
| description | Aim Surgical treatment options for upper cervical trauma are few and have a very high risk. We aimed to present our experiences on the cases in which we performed surgery by eliminating the flexion restriction in the postoperative period by not including the occipital region in surgery. Materials and Method 16 cases who underwent atlantoaxial fixation with C1 mass-C2 pedicle screwing due to atlantoaxial instability after the year 2008 were retrospectively examined. Results 16 patients were included in the study. While the median surgical procedure time of the patients was calculated as 107.5 (range, 60-150) minutes; Intraoperative blood loss was measured as median 350 (range, 200-550) mL. Postoperative complications were observed in 2 patients (12.5%). 1 (6.3%) of the complications was screw revision and 1 (6.3%) was superficial infection. It was observed that the VAS scores of the patients decreased significantly in the postoperative period. Conclusion In cases where surgery is planned due to atlantoaxial instability, internal fixation with C1 lateral mass C2 pedicular screws and rod system from the posterior is recommended as an appropriate surgical method due to early and high solid fusion and no restriction in neck flexion movements. |
| format | Article |
| id | doaj-art-77ffdeb01e9f4cd8a9dbf87c580792b5 |
| institution | DOAJ |
| issn | 2146-409X |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Sakarya University |
| record_format | Article |
| series | Sakarya Tıp Dergisi |
| spelling | doaj-art-77ffdeb01e9f4cd8a9dbf87c580792b52025-08-20T03:10:42ZengSakarya UniversitySakarya Tıp Dergisi2146-409X2024-06-0114217217910.31832/smj.144494128Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical InjuriesHikmet Turan Süslü0https://orcid.org/0000-0002-5370-3442Mustafa Kaya1https://orcid.org/0000-0001-5548-4944UNIVERSITY OF HEALTH SCIENCES, İSTANBUL KARTAL DR. LÜTFİ KIRDAR HEALTH RESEARCH CENTERSakarya Üniversitesi Tıp FakültesiAim Surgical treatment options for upper cervical trauma are few and have a very high risk. We aimed to present our experiences on the cases in which we performed surgery by eliminating the flexion restriction in the postoperative period by not including the occipital region in surgery. Materials and Method 16 cases who underwent atlantoaxial fixation with C1 mass-C2 pedicle screwing due to atlantoaxial instability after the year 2008 were retrospectively examined. Results 16 patients were included in the study. While the median surgical procedure time of the patients was calculated as 107.5 (range, 60-150) minutes; Intraoperative blood loss was measured as median 350 (range, 200-550) mL. Postoperative complications were observed in 2 patients (12.5%). 1 (6.3%) of the complications was screw revision and 1 (6.3%) was superficial infection. It was observed that the VAS scores of the patients decreased significantly in the postoperative period. Conclusion In cases where surgery is planned due to atlantoaxial instability, internal fixation with C1 lateral mass C2 pedicular screws and rod system from the posterior is recommended as an appropriate surgical method due to early and high solid fusion and no restriction in neck flexion movements.https://dergipark.org.tr/tr/download/article-file/3762984atlantoaxial instabilitec1 fraktürüc2 fraktürüodontoid fraktürüatlantoaxial instabilityc1 fracturec2 fractureodontoid fracture |
| spellingShingle | Hikmet Turan Süslü Mustafa Kaya Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries Sakarya Tıp Dergisi atlantoaxial instabilite c1 fraktürü c2 fraktürü odontoid fraktürü atlantoaxial instability c1 fracture c2 fracture odontoid fracture |
| title | Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries |
| title_full | Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries |
| title_fullStr | Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries |
| title_full_unstemmed | Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries |
| title_short | Experience and Results of Posterior Cervical Instrumentation Applied in Upper Cervical Injuries |
| title_sort | experience and results of posterior cervical instrumentation applied in upper cervical injuries |
| topic | atlantoaxial instabilite c1 fraktürü c2 fraktürü odontoid fraktürü atlantoaxial instability c1 fracture c2 fracture odontoid fracture |
| url | https://dergipark.org.tr/tr/download/article-file/3762984 |
| work_keys_str_mv | AT hikmetturansuslu experienceandresultsofposteriorcervicalinstrumentationappliedinuppercervicalinjuries AT mustafakaya experienceandresultsofposteriorcervicalinstrumentationappliedinuppercervicalinjuries |